DR. QUEEN FAMILY MEDICINE
NPI 1710366828
Clinic/Center - Health Service in San Jose, CA

NPI Status: Active since May 21, 2015

Contact Information

1675 BURDETTE DR STE 20
SAN JOSE, CA
ZIP 95121
Phone: (408) 274-6944
Fax: (408) 274-2258

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  • Organization
  • Clinic/Center
  • Health Service

About DR. QUEEN FAMILY MEDICINE

This page provides the complete NPI Profile along with additional information for Dr. Queen Family Medicine, a provider established in San Jose, California operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1710366828 assigned on May 2015. The practitioner's primary taxonomy code is 261QH0100X with license number 20A8237 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Quynh Queen Nguyen D.o. (Owcer)

NPI
1710366828
Provider Name
DR. QUEEN FAMILY MEDICINE
Entity Type
Organization
Location Address
1675 BURDETTE DR STE 20 SAN JOSE, CA 95121
Location Phone
(408) 274-6944
Location Fax
(408) 274-2258
Mailing Address
1675 BURDETTE DR STE 20 SAN JOSE, CA 95121
Mailing Phone
(408) 274-6944
Mailing Fax
(408) 274-2258
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-21-2015
Last Update Date
05-21-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License No.
20A8237
License State
CA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

QUYNH QUEEN NGUYEN D.O.

Authorized Official Title
OWCER
Authorized Official Phone
(408) 274-6944

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00AX82370MEDICAID (05)CA 
H93930MEDICARE UPIN (02) 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710366828
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720661284
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 6 + 1 + 2 + 8 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1710366828 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

QUYNH QUEEN A NGUYEN DO

Internal Medicine

1675 BURDETTE DR STE 20
SAN JOSE, CA
ZIP 95121

(408) 274-6944

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710366828, enumerated as an "organization" on May 21, 2015.

The provider is located at 1675 BURDETTE DR STE 20 SAN JOSE, CA 95121 and the phone number is (408) 274-6944.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.